{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:12:46Z","timestamp":1762863166157},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>W\u00e4hrend die prim\u00e4re prothetische Versorgung von Schenkelhalsfrakturen ein etabliertes Verfahren und bei geriatrischen Patienten den Goldstandard darstellt, wird die prim\u00e4re endoprothetische\n          Versorgung bei kniegelenknahen Frakturen deutlich seltener angewendet. Vor allem bei \u00e4lteren Patienten findet sie Anwendung bei Frakturen mit vorbestehender symptomatischer Gonarthrose oder\n          Frakturen, die aufgrund ihrer Komplexit\u00e4t und vorbestehender reduzierter Knochenqualit\u00e4t nicht osteosynthetisch zu versorgen sind.<\/jats:p><jats:p>Die operative Umsetzung ist komplex und bedarf entsprechender Erfahrung in der Prim\u00e4r- und vor allem auch Revisionsendoprothetik, einer Logistik mit Vorhaltung entsprechender Implantate und\n          einer guten pr\u00e4operativen Planung.<\/jats:p><jats:p>Auch wenn hochwertige Studien weitgehend fehlen, gibt es vor allem seit Anfang der 2000er-Jahre immer wieder Berichte und Fallserien zur prim\u00e4ren endoprothetischen Versorgung\n          kniegelenknaher Frakturen. Kumulativ liegen Berichte von jeweils gut 200 F\u00e4llen nach distalen Femur- und proximalen Tibiafrakturen vor. Die Komplikationsraten werden zwischen 0 und 90%\n          angegeben und betreffen vor allem Wundheilungsst\u00f6rungen und Infekte. Funktionell k\u00f6nnen \u00fcberwiegend sehr gute bis zufriedenstellende Ergebnisse und Bewegungsumf\u00e4nge von 100\u00b0 erzielt\n          werden.<\/jats:p><jats:p>Die prim\u00e4re endoprothetische Frakturversorgung kniegelenknaher Frakturen sollte in ausgew\u00e4hlten F\u00e4llen als Therapieoption in Betracht gezogen werden. Es lassen sich mit hoher\n          Zuverl\u00e4ssigkeit gute funktionelle Ergebnisse erzielen, Hauptkomplikationen sind Wundheilungsst\u00f6rungen und Infekte.<\/jats:p>","DOI":"10.1055\/a-1807-7668","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T23:31:26Z","timestamp":1654212686000},"page":"619-627","source":"Crossref","is-referenced-by-count":1,"title":["Prim\u00e4r endoprothetische Versorgung von Kniegelenksfrakturen"],"prefix":"10.1055","volume":"161","author":[{"given":"Stefan","family":"F\u00f6rch","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Unfallchirurgie, Orthop\u00e4die, plastische und Handchirurgie, Universit\u00e4tsklinikum Augsburg, Augsburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard","family":"Lisitano","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Unfallchirurgie, Orthop\u00e4die, plastische und Handchirurgie, Universit\u00e4tsklinikum Augsburg, Augsburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Mayr","sequence":"additional","affiliation":[{"name":"Unfallchirurgie, Orthop\u00e4die, Hand- und Plastische Chirurgie, Universit\u00e4t Augsburg Medizinische Fakult\u00e4t, Augsburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: A review","volume":"37","author":"CM Court-Brown","year":"2006","journal-title":"Injury"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/s00132-014-2267-5","article-title":"Fractures of the knee joint in the elderly: osteosynthesis versus joint replacement","volume":"43","author":"D 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